Fixed Splitting, Increased Aortic Intensity S2 Lesson

patient thorax when auscultating by stethoscope

patient position during auscultation
The patient was sitting during auscultation.

Description

Listen to this recording of a second heart sound with fixed splitting and including an increased sound intensity of the aortic component. This condition is seen in some patients with chronic, severe hypertension; aortic pressure is significantly increased.

Our recording contains fixed splitting of S2 to make it easier to concentrate on the relative intensities of the aortic and pulmonic components. In the cardiac animation video, note the increased thickness of the left ventricular wall caused by essential hypertension.

Phonocardiogram

Anatomy

Fixed Splitting, Increased Aortic Intensity S2


Authors and Sources

Authors and Reviewers

Sources

  • Heart and Lung Sounds Reference Library Diane S. Wrigley
    Publisher: PESI
  • Impact Patient Care: Key Physical Assessment Strategies and the Underlying Pathophysiology
    Diane S Wrigley & Rosale Lobo
  • Practical Clinical Skills: Lung Sounds
  • PESI Faculty - Diane S Wrigley
  • Case Profiles in Respiratory Care 3rd Ed, 2019
    William A.French
    Published by Delmar Cengage
  • Essential Lung Sounds by William A. French
    Published by Cengage Learning, 2011
  • Understanding Lung Sounds Steven Lehrer, MD
  • Clinical Heart Disease W Proctor Harvey, MD
    Clinical Heart Disease
    Laennec Publishing; 1st edition (January 1, 2009)
  • Heart and Lung Sounds Reference Guide
    PracticalClinicalSkills.com




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